The final diagnosis was carcinosarcoma of the left true vocal fold that extended to the vocal process of the arytenoids and infiltrated Reinke's space and the skeletal muscle.

The definitive histopathologic diagnosis was a carcinosarcoma made up of areas of in situ carcinoma and leiomyosarcoma of the right true vocal fold that involved the vocal process of the arytenoid and infiltrated into Reinke's space without affecting the vocal muscle or thyroid cartilage.

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